Individual
HILARY P WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1062 E LANCASTER AVE STE 2, BRYN MAWR, PA 19010-1568
(610) 525-7527
Mailing address
1428 GLEN ECHO LN, DRESHER, PA 19025-1119
(917) 324-8892
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009856
PA
103T00000X
Psychologist
PC009856
PA
103TB0200X
Cognitive & Behavioral Psychologist
PC009856
PA
Other
Enumeration date
10/03/2017
Last updated
12/18/2023
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